331881724-5-18-2026-18-AS-CTUA-DUM8HF-20260531223153

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 331881724
Report Date: 05/18/2026
Date Signed: 05/18/2026 01:35:07 PM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/14/2026 and conducted by Evaluator Janette Romero

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20260514085849

FACILITY NAME:	LUNA ASSISTED LIVING		FACILITY NUMBER:	331881724
ADMINISTRATOR:	MAMYAN, NARINE		FACILITY TYPE:	740
ADDRESS:	70603 INDEPENDENT CIRCLE		TELEPHONE:	(818) 641-9222
CITY:	RANCHO MIRAGE	STATE: CA	ZIP CODE:	92270
CAPACITY:	6	CENSUS: 4	DATE:	05/18/2026
		UNANNOUNCED	TIME BEGAN:	10:20 AM
MET WITH:	Caregiver Gloria Hanapu		TIME COMPLETED:	01:40 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff did not issue Resident 1's refund to the responsible person in a timely manner

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On 05/18/2026, Licensing Program Analyst (LPA) Janette Romero made an unannounced visit to the facility to investigate the allegation listed above. LPA was greeted and granted entry by Caregiver Gloria Hanapu who was informed of the purpose of the visit. LPA contacted Administrator Narine Mamyan and notified them of the purpose of the visit. Administrator reported she was unavailable to meet with LPA and directed LPA to contact Licensee Sahak Hovsepian. LPA made contact with Licensee Hovsepian who was also informed of the purpose of LPA's visit and reported being available via telephone.

LPA toured the facility, conducted interviews, and obtained copies of pertinent records. Regarding the allegation, "Staff did not issue Resident 1's refund to the responsible person in a timely manner" it was alleged that on 02/25/2026, Resident 1's (R1's) responsible person issued a check payable to the facility in the amount of $7,800 for R1's prepaid board and care services covering the period of 03/08/2026 through 04/07/2026. R1 passed away in the facility on 03/08/2026 and was therefore entitled to a full refund of $7,800. R1's personal belongings were removed from the facility the day after R1 passed. However, Licensee Hovsepian only refunded $3,900 to R1's responsible person and despite multiple attempts to obtain the remaining refund, licensee still owes R1's responsible person the remaining refund balance of $3,900.

Substantiated

Estimated Days of Completion:

SUPERVISORS NAME: Carolyn Tuba
LICENSING EVALUATOR NAME: Janette Romero
LICENSING EVALUATOR SIGNATURE:	DATE: 05/18/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/18/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 1 of 3

Control Number 18-AS-20260514085849

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: LUNA ASSISTED LIVING	FACILITY NUMBER: 331881724
	VISIT DATE: 05/18/2026

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

LPA reviewed R1's admission agreement and Identification and Emergency Information dated 10/08/2025 signed by their responsible person. The Refund Conditions/Resident Death and Belongings Removal subsection in the admission agreement notes that fees paid in advance will be refunded within 15 days of the removal of a deceased resident's belongings. This subsection reflects the signature of R1's responsible person. LPA also reviewed a death report listing R1's date of death as 03/07/2026.

LPA conducted a phone interview with Licensee Hovsepian who reported the following information. R1's responsible person issued a check payable to the facility in the amount of $7,800 for prepaid board and care services covering the period of 03/08/2026 through 04/07/2026. R1 passed away in the facility on 03/07/2026. R1's responsible person removed R1's belongings from the facility on 03/08/2026 with the exception of some durable medical equipment donated for future residents, which licensee accepted. Due to R1's passing and removal of personal belongings, R1 was entitled to a full refund of $7,800. Licensee immediately refunded $3,900 to R1's responsible person and requested additional time to refund the remaining $3,900, explaining that the facility had recently experienced low admissions resulting in operating on limited funds. Approximately two weeks after R1's passing, R1's responsible person requested the remaining refund balance of $3,900. However, it took an additional month for licensee to secure a new resident placement due to low admissions. On 05/17/2026, Licensee issued a check payable to R1's responsible person in the amount of $3,900 mailed to them via United States Postal Service. The delayed refund did not impact the facility's ability to purchase food for the residents, timely pay staff's earned wages, or cover any of the facility's operating expenses. During today's visit, LPA did not observe any immediate health or safety concerns. The facility had more than a two-day supply of perishable foods and seven-day supply of non-perishable food items along with operating utilities including electricity, gas, and water.

Based on LPA’s interviews conducted and records reviewed, the preponderance of evidence standard has been met, therefore the allegation of "Staff did not issue Resident 1's refund to the responsible person in a timely manner" is found to be substantiated. Title 22, Division 6, Health and Safety Code 1569.652 is being cited on the attached LIC 9099-D. An exit interview was conducted over the phone with Licensee Hovsepian and a copy of this report, LIC 9099-D, Confidential Names list (LIC 811) and Appeal Rights were reviewed with Licensee Hovsepian and Caregiver Hanapu and provided to Caregiver Hanapu.

SUPERVISORS NAME: Carolyn Tuba
LICENSING EVALUATOR NAME: Janette Romero
LICENSING EVALUATOR SIGNATURE:	DATE: 05/18/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/18/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 18-AS-20260514085849

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: LUNA ASSISTED LIVING	FACILITY NUMBER: 331881724
DEFICIENCY INFORMATION FOR THIS PAGE:	VISIT DATE: 05/18/2026

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 05/22/2026 Section Cited HSC 1569.652(c)	1 2 3 4 5 6 7	1569.652 (c) A refund of any fees paid in advance covering the time after the resident’s personal property has been removed from the facility shall be issued to the individual, individuals, or entity contractually responsible for the fees or, if the deceased resident paid the fees, to the resident’s estate, within 15 days after the personal property is removed. This requirement was not met as evidenced by:	1 2 3 4 5 6 7	Licensee reported he will email LPA a bank record displaying a photo copy of the check dated 05/17/2026 issued to R1's responsible person in the amount of $3,900 to serve as proof of the refund balance payment. Proof of correction to be submitted to LPA by close of business on 05/22/2026.
	8 9 10 11 12 13 14	Based on interviews and record review, R1 passed on 3/7/26 or 3/8/26 and their belongings were removed from the facility the day after their death. Therefore, R1's Responsible Person (RP) was entitled to a refund of $7800 within 15 days. Licensee reported they did not fully refund RP until 5/17/26. This poses a potential personal rights risk to residents in care.	8 9 10 11 12 13 14
	1 2 3 4 5 6 7		1 2 3 4 5 6 7
	1 2 3 4 5 6 7		1 2 3 4 5 6 7

Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.

SUPERVISORS NAME: Carolyn Tuba
LICENSING EVALUATOR NAME: Janette Romero
LICENSING EVALUATOR SIGNATURE:	DATE: 05/18/2026

I acknowledge receipt of this form and understand my appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/18/2026

LIC9099 (FAS) - (06/04)

Page: 3 of 3